Health literacy in former Soviet Union immigrants in the US: A mixed methods study.

Autor: Kostareva U; Nancy Atmospera-Walch School of Nursing, University of Hawai'i at Manoa, Honolulu, HI 96822, USA. Electronic address: uliana@hawaii.edu., Albright CL; Nancy Atmospera-Walch School of Nursing, University of Hawai'i at Manoa, Honolulu, HI 96822, USA; Thompson School of Social Work and Public Health, University of Hawai'i at Manoa, Honolulu, HI 96822, USA. Electronic address: cherylal@hawaii.edu., Berens EM; Interdisciplinary Centre for Health Literacy Research, Bielefeld University, 33615 Bielefeld, Germany. Electronic address: eva-maria.berens@uni-bielefeld.de., Klinger J; Institute for Sociology and Social Psychology, University of Cologne, 50931 Cologne, Germany. Electronic address: klinger@wiso.uni-koeln.de., Ivanov LL; Chamberlain University, College of Health Professions, Chicago, IL 60661, USA. Electronic address: LIvanov@chamberlain.edu., Guttersrud Ø; Norwegian Centre for Science Education, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo 0318, Norway. Electronic address: oystein.guttersrud@naturfagsenteret.no., Liu M; College of Education, University of Hawai'i at Manoa, Honolulu, HI 96822, USA. Electronic address: minliu@hawaii.edu., Sentell TL; Thompson School of Social Work and Public Health, University of Hawai'i at Manoa, Honolulu, HI 96822, USA. Electronic address: tsentell@hawaii.edu.
Jazyk: angličtina
Zdroj: Applied nursing research : ANR [Appl Nurs Res] 2022 Oct; Vol. 67, pp. 151598. Date of Electronic Publication: 2022 May 17.
DOI: 10.1016/j.apnr.2022.151598
Abstrakt: Background: People with limited health literacy may have trouble finding, understanding, and using health-related information and services and navigating the healthcare system.
Purpose: The purpose of this study was to assess the health literacy of immigrants from the former Soviet Union (FSU) using the Health Literacy Survey (HLS19-Q12 in Russian) and explore associated socio-demographic factors.
Method: This mixed methods study recruited adult immigrants through social networks and social media and included data from online survey and follow-up interviews. Variance in health literacy was explained using multiple linear regression. Qualitative data were analyzed through modified Grounded Theory approach.
Findings: Survey respondents (n = 318) were primarily female college-educated FSU immigrants aged 20-74 from 14 of the 15 FSU countries and distributed across 33 US states. Forty percent scored at or below predefined cut-offs for inadequate or problematic health literacy levels. Social status, social support, and English proficiency were significant variables in explaining variance in health literacy scores while controlling for age, gender, and education. Interviews (n = 24) identified eight themes: English proficiency, social support, health insurance, experience with health care, complexity of the US healthcare system, relevant health information, health beliefs/practices, and trust.
Discussion: There is a need to distribute health-related information in the native language (e.g., Russian), potentially through social media and immigrants' social networks. Health providers should be aware of the prevalence of inadequate and problematic health literacy among FSU immigrants and consider associated social factors.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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